NPI | 1588900401 |
---|---|
Entity Type | Organization |
Authorized Contact | IGOR BOYARSKY President 323-648-6996 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA 20A6805) |
Enumeration Date | 2012-12-20 |
Last Update Date | 2012-12-20 |