| NPI | 1164777090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM RAHIMI President 310-634-1146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA 20A10143) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |