| NPI | 1952673360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVARO R VALENZUELA Manager 559-930-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2012-01-31 |