| NPI | 1093554735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKY T LEDESMA Licensed Vocational Nurse 805-390-2780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |