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 |