| NPI | 1235365701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY JORDAN WEESSIES Partner 951-682-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: CA C41397) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC24932) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |