| NPI | 1710338256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIEN JOHANN BURGESS President 714-618-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A93077) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: CA CA31139) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A93077) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: CA PT38468) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2017-02-07 |