| 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 |