| 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 |