| NPI | 1689049785 |
|---|---|
| Former Legal Business Name | TWINS PHYSICAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DANIEL CLEMENTS CEO 714-985-9554 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 20A6613) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2024-11-07 |