| NPI | 1013631985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HUONG NGUYEN President 949-736-5995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2023-08-02 |