Organization Name: | SAN DIEGO PAIN REHAB |
NPI Number: | 1114010600 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANKLIN H DULIN (PHYSICIAN) |
Mailing Address: | 3200 Highland Ave. Ste 203 National City |
State: | CA US |
Postal Code: | 91950 |
Phone Number: | 6194771700 |
Fax Number: | 6194777133 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | A41883 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |