| NPI | 1790664431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANHDAO QUACH Owner 949-331-3347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 171100000X Acupuncturist |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-08-28 |