| NPI | 1497888382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA M. JOHNSON Medical Provider 209-571-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA PA14435) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-05-21 |