| NPI | 1902084783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENELL MARK STREET Owner/Medical Director 951-640-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A43837) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |