NPI | 1255790358 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD AJLUNI Doctor/Owner 408-978-6712 |
Organization Subpart ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA A79732) |
Additional Taxonomies | 171100000X Acupuncturist |
208VP0000X Pain Medicine, Pain Medicine (Licence: CA A79732) | |
111N00000X Chiropractor | |
Enumeration Date | 2016-02-17 |
Last Update Date | 2022-11-03 |