| NPI | 1316505563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KOYANAGI Owner 310-373-5288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |