| 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 |