| NPI | 1609166545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN C PETERSON Direct Owner 310-266-3774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A103097) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2020-02-10 |