| NPI | 1043340722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA M VLACHOS Physician 310-860-3409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA AO68888) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-10-02 |