| NPI | 1508338765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASHAR GHOMRI Medical Director 310-971-4757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2018-12-27 |