| NPI | 1518548270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN SCOTT MILLER Manager 626-399-6834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-04-15 |