| NPI | 1912398660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY A. SMITH Medical Director 310-320-1970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: CA A50680) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |