| NPI | 1386652659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KOSKO OATES Owner 805-922-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA GO72477) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA GO72476) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2008-02-19 |