NPI | 1679031611 |
---|---|
Doing Business As | SPECTRUM PAIN AND SPINE CENTER |
Entity Type | Organization |
Authorized Contact | JESUS LAO Medical Director 619-255-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Enumeration Date | 2019-03-08 |
Last Update Date | 2020-10-07 |