| NPI | 1952301061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SHIH Owner 310-301-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X (Licence: CA A62636) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A62636) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2025-09-11 |