| NPI | 1326278839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN H. KOTTON President 310-935-4065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: CA A107539) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A107539) |
| 208100000X Physical Medicine & Rehabilitation (Licence: CA A107539) | |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2013-10-03 |