| NPI | 1659974681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY BRAGANZA Credentialing And Billing Manager 714-855-9304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2023-12-19 |