| NPI | 1962504761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JOHN SIMONSON Medical Director 805-585-0231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2014-04-21 |