NPI | 1760835086 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY ALAN SMITH President And Medical Director 310-863-0690 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A50680) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A77153) |
Enumeration Date | 2016-07-21 |
Last Update Date | 2021-07-20 |