| NPI | 1568669521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL B DUNLEVY President 916-961-2095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA G61359) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |