| NPI | 1538563549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHUONG Q TIEN Owner 714-333-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A111842) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2020-04-16 |