| NPI | 1134309768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA LEE PINEDA-FALDAS Chief Executive Officer 951-310-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA PT25778) |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: CA PT25778) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT25778) | |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2009-02-12 |