NPI | 1184854671 |
---|---|
Doing Business As | EDICO PAIN MANAGEMENT AND REHABILITATION WELLNESS CLINIC |
Entity Type | Organization |
Authorized Contact | MARCIANO PINGUE TAMAYO VP For Operations 626-794-1570 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
208D00000X General Practice | |
Enumeration Date | 2009-07-20 |
Last Update Date | 2009-07-20 |