NPI | 1205911716 |
---|---|
Entity Type | Organization |
Authorized Contact | RAMAKRISHNA R THONDAPU Medical Director 209-724-0316 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: CA 550000054) |
Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 550000054) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2017-11-30 |