| NPI | 1528235694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK S BAUM President/Sole Owner 818-888-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A40264) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A40264) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2020-02-06 |