| NPI | 1366984247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D HIDALGO Owner 714-397-5029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: CA G072815) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |