| NPI | 1619451184 |
|---|---|
| Doing Business As | SYNOVATION MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CLAYTON A VARGA C.E.O. 626-696-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 225100000X Physical Therapist | |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |