| NPI | 1003025800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | W. MICHAEL CARRAGHER President 323-874-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081H0002X (Licence: CA 20A7692) |
| 208D00000X General Practice | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2009-12-10 |