| NPI | 1003415993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARGIS KHAZIRAN Manager 818-986-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |