| NPI | 1679119747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUHANS GHEBRENDRIAS Owner/President 559-916-9826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |