| NPI | 1225330830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY OLSEN Owner 714-508-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA G69571) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2023-03-07 |