| NPI | 1104153113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEANN GONZALEZ President 714-808-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA G84446) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |