| NPI | 1275723892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY FLAPAN Physician 916-730-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA 20A8080) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |