| 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 |