| NPI | 1770856809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN MARTIN LIPTON Owner 310-574-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AZ AZ32683) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-03-02 |