| NPI | 1851832463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER S CARMONA Cheif Operation Officer 818-348-7253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-08-31 |