| NPI | 1073637328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCHREIBER President 310-458-1259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA 20A5391) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |