| NPI | 1942485867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C SCANNELL President 714-973-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA G75151) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2013-01-09 |