| NPI | 1558436865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DAVID SUMMA Manager 831-465-8680 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA a72826) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C52067) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA 20A8078) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A7926) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2014-08-19 |