| NPI | 1528543394 |
|---|---|
| Former Legal Business Name | JOHN A GOROSTIZA VILLANUEVA MD, INC PAIN & SPINE |
| Entity Type | Organization |
| Authorized Contact | JOHN A GOROSTIZA VILLANUEVA Doctor And Owner 626-437-3661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2019-03-12 |