| NPI | 1437354354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY E KASLOW President 714-565-1032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA G55911) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G55911) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: CA G55911) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |