NPI | 1962985630 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANCIS P LAGATTUTA Medical Director 805-925-9581 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Enumeration Date | 2018-09-10 |
Last Update Date | 2018-09-10 |