| NPI | 1962809335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHURAM SIAL President 310-792-3914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |