| NPI | 1265144067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E SCOTT Owner 858-449-1662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2023-03-30 |