| NPI | 1194570259 |
|---|---|
| Doing Business As | BIOEVOLVE SAN DIEGO ORTHOBIOLOGICS AND SPORTS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARY AMBACH Owner 239-410-8441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-11-12 |