| NPI | 1780722199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SONTAG Owner 650-780-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: CA 6052976) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |