| NPI | 1225358609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JAMES SMITH President 619-640-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G66777) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2021-03-09 |