| NPI | 1154992592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CLAWSON President 760-835-0916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2023-08-17 |