| NPI | 1649687641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOOMAN RASTEGAR President 949-588-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: CA A106971) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |