| NPI | 1295391712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA BAGHERPOUR Owner 949-878-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |