| NPI | 1235486754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH KISHIHARA President 559-960-5764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: CA OT3030) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: CA OT3029) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-10-04 |