| NPI | 1336185271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO LUIS FLORES Administrator 951-696-4308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: CA 05-4559) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA P57826) |
| 225X00000X Occupational Therapist (Licence: CA P13497) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2008-02-26 |