| NPI | 1104256924 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ARTEMIO PEREZ Secretary 925-361-7153 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM | 
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine | 
| 207QS0010X Family Medicine, Sports Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| Enumeration Date | 2013-11-14 | 
| Last Update Date | 2015-04-07 |