| NPI | 1336448299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PETROS CEO/President 408-528-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 305S00000X Point of Service (Licence: CA A90732) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2022-05-11 |