| NPI | 1225466964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY PAYARES Owner 310-801-8879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT38186) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |