| NPI | 1861453805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN BAKTANIAN Direct Owner 818-888-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A85580) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A85580) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2020-08-22 |