| NPI | 1427486158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSIE AURORA HERNDON Co 760-778-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: CA 330114AP) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2024-07-10 |