| NPI | 1225503048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VY DOAN Practice Manager 858-457-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-17 |