| NPI | 1598161937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN SAMUELIAN President 949-650-0736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT 33412) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |