NPI | 1972640548 |
---|---|
Doing Business As | INTERVENTIONAL PAIN MANAGEMENT MEDICAL GROUP INC. |
Entity Type | Organization |
Authorized Contact | PAUL RODRICKS President 818-981-4482 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CA G84064) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2015-06-29 |