| NPI | 1659678274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD G BALBAS Ower 951-735-3553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: CA A89036) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2012-11-19 |