| NPI | 1518011576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS CYR Billing Administrator 818-957-2192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA g45473) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2009-04-08 |