| NPI | 1083170492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA RHONDA C FLEMING President 818-945-5172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |