| NPI | 1891872487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIEN TRAN CFO 714-334-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 20048) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-08-01 |