| NPI | 1386983534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHIL RASHID KHAN Owner 310-877-5692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: CA A62362) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |