| NPI | 1013131796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN ATAEE Medical Director/Owner 310-553-7960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: CA A44107) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A106704) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2010-12-16 |