| NPI | 1740308683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIR PRABHU DHALLA President 951-787-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-06-27 |