| NPI | 1386261519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KROOPF Physician 831-901-3940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2020-07-04 |
| Last Update Date | 2024-11-19 |