| NPI | 1407149297 |
|---|---|
| Doing Business As | OC BACK & BODY DOCTORS |
| Entity Type | Organization |
| Authorized Contact | DESIREE D EDLUND President 949-724-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A89036) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT35232) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2015-02-11 |