| NPI | 1104591999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DO Director 818-288-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-08-12 |