| NPI | 1215134960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MICHAEL SCHILLING Owner 949-602-1744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA g60661) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |