| NPI | 1205209277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY AN LE President 909-437-4509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CA AT4819) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2016-01-19 |