| NPI | 1750562336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER WILLIAM SHORTZ Chief Executive Officer 510-932-6208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA C35999) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A77502) |
| 207X00000X Orthopaedic Surgery (Licence: CA A46453) | |
| 207T00000X Neurological Surgery (Licence: CA G10280) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: CA A40212) | |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2008-03-30 |