| NPI | 1982239307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JAMES SMITH Owner/President 619-640-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2021-03-09 |