| NPI | 1912390907 |
|---|---|
| Doing Business As | PAIN PSYCHOLOGY CENTER |
| Entity Type | Organization |
| Authorized Contact | ALAN TODD GORDON President 310-853-2049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-03-15 |
| Last Update Date | 2015-03-15 |