| NPI | 1639681695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIKI HURT Owner 562-394-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 267815-1) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 267815-1) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |