| NPI | 1700668779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHAHZAD Administrator 949-696-6157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |