| NPI | 1346868387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT M MARTIN Owner 949-444-1413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2021-09-21 |