| NPI | 1760964340 |
|---|---|
| Doing Business As | INNOVATIVE PAIN AND SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | MATTHEW S ROOT Owner 818-621-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2022-11-07 |