| NPI | 1326584277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE HIGASHI Owner 310-390-9018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |