| NPI | 1073625232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE THAI Medical Director 714-596-4288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: CA G644010) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA G644010) |
| 2081P0004X Physical Medicine & Rehabilitation Spinal Cord Injury Medicine (Licence: CA G644010) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-11-21 |