| NPI | 1609176189 |
|---|---|
| Former Legal Business Name | COAST PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | ATEF E RAFLA Medical Director 714-641-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A52751) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2022-07-21 |