| NPI | 1962059139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DAVID HOEFFLIN Owner/CEO 310-273-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208600000X Surgery |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2023-01-18 |