| NPI | 1821199209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD BRETT WEISS Doctor/Owner 760-564-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G86691) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA G86691) |
| 208VP0000X Pain Medicine Pain Medicine (Licence: CA G86691) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2011-05-17 |