| NPI | 1053939546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHAN VAHE YACOUBIAN Director/Officer 818-841-3936 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |