| NPI | 1962823930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN SERNA CFO 916-865-1865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2018-01-26 |