| NPI | 1013750512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JADALI Authorized Official 408-244-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207T00000X Neurological Surgery | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-14 |