| NPI | 1073507406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY W RHEIN Owner 818-442-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 225100000X Physical Therapist | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2020-08-22 |