| NPI | 1982211165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CHEN Operations Associate 323-472-6823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |