NPI | 1477832277 |
---|---|
Entity Type | Organization |
Authorized Contact | TANYA LYNNE KUJAC CEO/Medical Director 925-256-6583 |
Organization Subpart ? | No |
Primary Taxonomy | 2081H0002X (Licence: CA A063451) |
Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: CA A063451) |
Enumeration Date | 2011-08-10 |
Last Update Date | 2011-08-10 |