| NPI | 1659432409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA Y MILLIGAN Business Billing Manager 714-777-2469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A92345) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2023-04-14 |