| NPI | 1174164917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MACK COO 949-527-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2020-03-17 |