| NPI | 1144460577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY NORRIS Director 310-451-2292 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: CA OT 6103) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |