| NPI | 1720183973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABIAN A PROANO President 310-791-4980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G55631) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G60934) |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA PSY4695) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-05 |