| NPI | 1376300228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREI DOKUKIN Medical Director 562-888-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |