| NPI | 1306328794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL CRIDER Practice Support Manager 310-618-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 14799) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2019-04-16 |