| NPI | 1760815237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEBA JILANI Owner 949-307-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: AZ 47193) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |