| NPI | 1831812692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE LUTJE Office Administrator 562-210-5141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2025-01-22 |