| NPI | 1821348541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LAWRENCE PADILLA Director 858-676-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| 207Q00000X Family Medicine | |
| 207QS0010X Family Medicine, Sports Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2013-04-19 |