| NPI | 1417207614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY HALEM Medical Doctor 310-473-7130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A89000) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2013-08-01 |