| NPI | 1700322567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC FRIEDMAN Manager 714-907-7458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QP3300X Clinic/Center, Pain | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2022-08-16 |