| NPI | 1811390602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN JARDIN President 925-250-7447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: CA A128252) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC25146) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: CA A128252) | |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: CA A128252) | |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |