| NPI | 1881062487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE BEVIER CEO 949-274-7104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA 31926) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: CA 31926) |
| Enumeration Date | 2015-09-13 |
| Last Update Date | 2026-05-21 |