| NPI | 1306116041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARISE L IVY CEO/President 626-808-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A86275) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2023-03-07 |