| NPI | 1407445687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD A BALBAS President 949-588-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |