| NPI | 1053476853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MURPHY VP Operations 818-880-8605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: AZ 2213) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2018-10-24 |