| NPI | 1053419408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADISLAV SHUT President 310-246-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA PT32430) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-07-06 |