| NPI | 1902492721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUY NGUYEN Medical Director 681-318-0730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2026-02-09 |