NPI | 1679713135 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNA LEE PINEDA-FALDAS CEO 951-310-1130 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT25778) |
Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: CA PT25778) |
Enumeration Date | 2009-02-24 |
Last Update Date | 2009-02-24 |