| NPI | 1043575459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARIAH VEIRS Office Manager 909-945-9982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363A00000X Physician Assistant | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-10-22 |