| NPI | 1497594600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY CARL COHEN Owner 858-571-3630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |