| NPI | 1972362861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VUONG DUC DOAN Owner 831-227-5083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-03-14 |