| NPI | 1316970486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN TIEN LE President 714-402-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: CA PT21215) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |