| NPI | 1619366614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALIHEH MASSIH Owner 408-356-5292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A83541) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |