| NPI | 1992478671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEE Owner/Authorized Official 805-687-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-09-02 |