| NPI | 1801160460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA M MATHIS Owner 310-641-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA G79441) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2022-07-21 |