| NPI | 1912459397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ANN GARCIA Dr/Owner 951-735-3553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: CA A062657) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |