| NPI | 1649592981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANUJ GUPTA Owner 619-330-8771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A85939) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: CA A85939) |
| 207L00000X Anesthesiology (Licence: CA A85939) | |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2013-10-15 |