| NPI | 1043799018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA SHOWERS Medical Billing Specialist Lead 805-928-7361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-08-10 |