| NPI | 1164466785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN R FRACALOSY H.R. Manager 949-640-2121 |
| Organization Subpart ? | |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA BT00015281) |
| Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2022-10-07 |