| NPI | 1902345622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON D MILLER Sole Member 714-608-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX Q7424) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |