| NPI | 1407127152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO POLANCO President 323-887-7458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT11680) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2017-04-21 |