| NPI | 1740592260 |
|---|---|
| Doing Business As | NORTHERN CALIFORNIA PAIN SPECIALIST |
| Entity Type | Organization |
| Authorized Contact | JUSTIN LO Owner 408-295-8628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: CA A77343) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2021-06-21 |