| NPI | 1639701139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAYTON ALEXANDER VARGA CEO 626-696-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| 225100000X Physical Therapist | |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2025-03-14 |