| NPI | 1275307662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI REGENASS CEO 818-291-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-07 |