| NPI | 1528029667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH SOOHOO Direct Owner 818-888-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G63312) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G63312) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2009-12-15 |