| NPI | 1972884013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA I LANDEROS Assistant/Biller 626-445-0326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CA 220607) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2019-01-03 |