| NPI | 1962760991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA TRUJILLO Director Of Operations 626-389-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA 20A11212) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2013-05-14 |