| NPI | 1114492923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINCOLN NGUYEN CEO 714-580-8826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine | |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine | |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| 2083S0010X Preventive Medicine, Sports Medicine | |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 246Z00000X Specialist/Technologist, Other | |
| 251B00000X Case Management | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2022-03-05 |