| NPI | 1699042507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANIJEH RYAN President/Medical Director 925-765-7761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A117409) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A117409) |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: CA A117409) | |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine | |
| Enumeration Date | 2011-11-20 |
| Last Update Date | 2022-06-09 |