NPI | 1760654297 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG J MILHOUSE President 714-532-7272 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G45457) |
Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA G45457) |
Enumeration Date | 2008-03-25 |
Last Update Date | 2008-03-25 |