| NPI | 1578883674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI ANN DOVE M.D./President 858-810-0382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A55667) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: CA A55667) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2015-11-12 |