| NPI | 1023327244 |
|---|---|
| Doing Business As | COASTAL VALLEY SPINE & PAIN |
| Entity Type | Organization |
| Authorized Contact | AIDEN M CLARKE President 831-424-4878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA G64292) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |