| NPI | 1366547176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRI GOPAL CEO 619-294-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: CA 090000674) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |