| NPI | 1306342415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA MAZALIAN CEO 818-747-4189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA 37937) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |