| NPI | 1962739896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE O'CAMPO Office Manager 714-543-2554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: CA A37952) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2011-11-14 |