| NPI | 1659683373 |
|---|---|
| Doing Business As | CENTRO MEDICO |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHOAR Sole Proprietor/CEO 805-797-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IL 038-010477) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2017-05-01 |