| 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 |