| NPI | 1285971028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD C ARCILLA Owner 619-857-8831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A48300) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A48300) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2018-08-29 |