| 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 |