| NPI | 1255532123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIMA SHAHAMATI Officer 310-203-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA PT11796) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 3471) |
| 225100000X Physical Therapist (Licence: CA PT11796) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2018-12-26 |