| NPI | 1013195965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUGA PODESTA President 805-491-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA A46655) |
| Enumeration Date | 2008-02-02 |
| Last Update Date | 2008-02-02 |