| NPI | 1154720373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC CUBEIRO President 714-963-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2019-08-19 |