| NPI | 1376025999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS P LAGATTUTA Medical Director 805-925-9581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |