| NPI | 1477118305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVDEEP JASSAL Owner 833-513-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-08-22 |