NPI | 1356795157 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY DANIEL CHONG President 858-453-7700 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A103353) |
Enumeration Date | 2016-04-18 |
Last Update Date | 2016-04-18 |