| NPI | 1528314515 |
|---|---|
| Doing Business As | ODYSSEY PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | SAMUEL RYAN PARK President 949-207-7650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CA A75650) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-12-30 |