| NPI | 1861275497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN CHANG Chief Medical Officer 877-772-7081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 202C00000X Independent Medical Examiner |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |