| NPI | 1538458351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LE Medical Director 916-480-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: CA G72879) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A46083) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2012-02-20 |