| NPI | 1033812417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAN M LI Manager 800-713-8519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 103T00000X Psychologist |
| 111N00000X Chiropractor | |
| 171M00000X Case Manager/Care Coordinator | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 207X00000X Orthopaedic Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2085B0100X Radiology, Body Imaging | |
| 2085D0003X Radiology, Diagnostic Neuroimaging | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-03-23 |