| NPI | 1841716008 |
|---|---|
| Doing Business As | MB LASER THERAPY |
| Entity Type | Organization |
| Authorized Contact | THERESA NGOC QUACH Medical Consultant 949-331-6913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX J3242) |
| Additional Taxonomies | 171100000X Acupuncturist |
| 208D00000X General Practice (Licence: TX J3242) | |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: TX J3242) | |
| Enumeration Date | 2017-08-19 |
| Last Update Date | 2022-07-21 |