| NPI | 1942885835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA ELIA CHAVARRIA Billing Manager 831-375-4105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-06-22 |