| NPI | 1003695008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ROSTOKER Secretary 562-503-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 227800000X Respiratory Therapist, Certified | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2023-09-27 |