| NPI | 1275376816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT PAUL SAN LUIS OMICTIN Director 323-394-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-16 |