| NPI | 1699445221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYANT BELTRAN Owner 833-633-7760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2023-10-27 |