| NPI | 1871990838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON BERKLEY BRIZZIE Medical Director/Owner 760-757-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |