| NPI | 1235593567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY PATEL CEO 909-969-0513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A120793) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2020-07-01 |