| NPI | 1164981817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE WANG Md/Owner 916-671-9884 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |