| NPI | 1053550293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN KAYE CEO 818-986-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA G29768) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: CA DC28811) |
| 207R00000X Internal Medicine (Licence: CA G7818) | |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |