NPI | 1215107354 |
---|---|
Entity Type | Organization |
Authorized Contact | JUAN D GUAJARDO CEO 951-774-4611 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA PSY 11922) |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A69385) | |
225100000X Physical Therapist | |
Enumeration Date | 2008-03-05 |
Last Update Date | 2008-03-05 |