| NPI | 1275229692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM M WEITZMAN Manager 310-543-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |