| NPI | 1659249803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOON BURNAM Secretary Of Management Company 949-540-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 225800000X Recreation Therapist |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2025-10-28 |