| NPI | 1013467091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROD AMIRI Executive Director 323-375-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: CA 0002934671-0001-4) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |