NPI | 1336521905 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY T DAVIS CEO 310-200-0945 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A63742) |
Enumeration Date | 2015-06-19 |
Last Update Date | 2021-12-03 |