| NPI | 1538181573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANCE ZACHARY JOHNSON President/CEO 951-506-5049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A61529) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2013-08-31 |