| NPI | 1659742252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER MIGNOSA President 714-323-8261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A12464) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |