| NPI | 1669658852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JAMES MANGAN President/Owner 951-296-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: CA 24351) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2016-09-01 |