| NPI | 1588026371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD STEPHEN BEAUCHAMP Owner 714-377-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 38002) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: CA 38002) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2017-02-14 |