Central Coast Functional Restoration Program INC
NPI #1144781519 in Capitola, California
Provider Information
- NPI Number
- 1144781519
- Entity Type
- Organization
- Organization Name
- Central Coast Functional Restoration Program INC
- Primary Specialty
- Pain Medicine - Interventional Pain Medicine
- Enumeration Date
- Mar 28, 2019
- Last Updated
- Mar 28, 2019
Practice Location
- Address
- 1260 41ST AVE STE D
- City
- Capitola
- State
- California
- ZIP Code
- 95010-3929
- Phone
- (831) 464-7246
Authorized Official
- Name
- MARIA G MONTES
- Title
- OFFICE MANAGER
- Phone
- (831) 464-7246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine |
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