| NPI | 1548280001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD HOBERMAN Sole Owner 818-888-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G61122) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: CA G61122) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |