| NPI | 1942642533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KENNETH DELLORUSSO Owner/Provider 714-962-1674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A45146) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2017-12-19 |