| NPI | 1558666149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY M TSANG General Manager 626-512-6348 |
| Organization Subpart ? | |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2020-01-07 |