| NPI | 1740612134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS POWERS Owner 714-843-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G15640) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA G15640) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA G15640) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: CA G15640) | |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-09-23 |