| NPI | 1992125017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE WALZ Sr. Manager 714-542-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: CA 97825) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |