| NPI | 1639239528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JORDAN SONTAG Owner 650-306-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-02-01 |