| NPI | 1164049375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENAKWA HAWKINS Owner 818-481-3571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-07-03 |