| NPI | 1013937515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIRAM OWEN BRIAN MASAYON President 213-250-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT29929) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-03-25 |