| 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 | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| 208VP0000X Pain Medicine Pain Medicine (Licence: CA A79732) | |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2022-11-03 |