| NPI | 1558541870 |
|---|---|
| Doing Business As | PENINSULA PAIN CARE |
| Entity Type | Organization |
| Authorized Contact | BRANDON TRUONG WYNN Medical Director 408-368-1889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA 20A9059) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |