| NPI | 1306188503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CHARLES ORNELAS Owner 310-423-1086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A112082) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-06-06 |