| NPI | 1134493497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIPE RODRIGUEZ Supervisor 323-221-1746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |