| NPI | 1184187601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R HORSLEY Owner 714-754-7268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |