| NPI | 1972685493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LAVIGNA Owner, Vice President 510-465-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2015-06-04 |