| NPI | 1700134103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HUGHES Medical Director 650-504-8151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA A78391) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |