| NPI | 1639332067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY MORENO Office Manager 805-928-1731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: CA G55442) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2008-12-22 |