| NPI | 1942400692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NACOLE PARKER Practice Manager 858-453-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A86646) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2021-03-02 |