| NPI | 1295221422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN PATRICK WHALEN Cmo/Cbdo 213-455-7804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |