| NPI | 1053318337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BASS Owner 310-553-2519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA w14533) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2014-06-23 |