| NPI | 1083985451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER OBRIEN President 310-477-7276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 111N00000X Chiropractor |
| 208100000X Physical Medicine & Rehabilitation | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 225100000X Physical Therapist | |
| 225700000X Massage Therapist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |