| NPI | 1790094639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD A CARLISH Medical Director 213-977-9421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA G15424) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G15424) |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA A64244) | |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2011-01-27 |