| NPI | 1700847878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND LAM Direct Owner 818-952-3953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G69872) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G69872) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2020-08-22 |