| NPI | 1710207931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE GUIDO Clinical Director 858-705-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA 28518) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-08-20 |