| NPI | 1205153848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAVOR LASHBROOK Office Manager 760-757-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A9611) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2011-06-06 |