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 |