| NPI | 1891938676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELENA M MAINARICK Office Manager 510-278-0226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: CA A34460) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2010-06-29 |