| NPI | 1932332004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A PROPST Owner 949-218-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA 20A6635) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2009-08-24 |