| NPI | 1144046624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI A. HAWKINS Owner/President 310-413-6034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2024-11-29 |
| Last Update Date | 2024-12-05 |