| NPI | 1417348434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANCE ZACHARY JOHNSON CEO/President 951-894-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A61529) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A68609) |
| 207T00000X Neurological Surgery (Licence: CA A97961) | |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: CA 8914) | |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |