| NPI | 1922435411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAO NGUYEN CEO 714-254-5751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A95636) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2014-06-30 |