| NPI | 1619246931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE JAY SCALES Owner 951-695-9648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA G58330) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |