| NPI | 1083498851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACEY KUHA Applications And Syst EMS Manager 310-328-0276 |
| Organization Subpart ? | |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| 261QH0700X Clinic/Center Hearing and Speech | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2024-09-26 |