| NPI | 1568958171 |
|---|---|
| Doing Business As | FMR INTERVENTIONAL QUALITY PAIN MANAGEMENT |
| Doing Business As | FMR INTERVENTIONAL QPM |
| Entity Type | Organization |
| Authorized Contact | F. MARINA RUSSMAN Medical Director/Owner 310-294-9027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2023-07-28 |