| NPI | 1619189636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL Q LE President 818-550-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA G71070) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2011-01-05 |