| NPI | 1780824888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUBHA M JAIN Office Manager 818-366-0474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: CA A54399) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: CA A47841) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |