NPI | 1134465149 |
---|---|
Other Name | HEALTH ATLAST FOUNTAIN VALLEY |
Entity Type | Organization |
Authorized Contact | KAREN A TAFRESHI CEO 949-922-1342 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A51257) |
Enumeration Date | 2012-12-19 |
Last Update Date | 2018-07-05 |