| NPI | 1952275919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ALTONAGA Administrator 707-631-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2025-10-02 |