| NPI | 1407011463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX MATOS Medical Director 714-751-8110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 111NX0100X Chiropractor, Occupational Health |
| 171100000X Acupuncturist | |
| 207R00000X Internal Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208VP0000X | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2016-07-07 |