| NPI | 1932079084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE RIVEROY Partner 909-261-1263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 2084P0301X Psychiatry & Neurology, Brain Injury Medicine | |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2025-11-05 |