| NPI | 1164841037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN JAMES HAAS President 818-957-1217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA A108091) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2021-10-26 |