NPI | 1528333614 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY SMITH Office Manager 831-759-0858 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: CA A70500) |
Enumeration Date | 2012-03-21 |
Last Update Date | 2012-06-26 |