| NPI | 1871721860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN LEE IRWIN Owner 949-916-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A105673) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A105673) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2012-01-20 |