| NPI | 1184769606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LOLLICH Director Of Sports Medicine 323-442-5226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MA 1494) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |