| NPI | 1013310556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIOKSON RENA Owner 415-757-0814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |