| NPI | 1124630967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VRIJESH SHANTANU TANTUWAYA President 858-472-1380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 111NX0100X Chiropractor, Occupational Health |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2020-08-22 |
| Last Update Date | 2020-08-22 |