| NPI | 1881295608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWNI WEBBER Billing Manager 619-640-5555 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |