| NPI | 1952275232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS PATRICK MARTIN CEO 951-217-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 208VP0000X | |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-01 |