| NPI | 1376723601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJEE ANANDA Owner 805-522-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA A31897) |
| Enumeration Date | 2007-11-03 |
| Last Update Date | 2010-08-24 |