| NPI | 1558196337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE CHRISTINE STEIGERWALD Shareholder, Cno 619-738-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 207L00000X Anesthesiology | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| 261Q00000X Clinic/Center | |
| 261QA1903X Clinic/Center Ambulatory Surgical | |
| 261QM2500X Clinic/Center Medical Specialty | |
| 261QP3300X Clinic/Center Pain | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-03 |