| NPI | 1679451348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM RAHIMI CEO 949-610-1042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-21 |