| NPI | 1538242763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIA D. LE President 626-839-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A32938) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A32938) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2010-03-17 |