| NPI | 1417495904 |
|---|---|
| Doing Business As | EMG&NCV PRACTICE |
| Entity Type | Organization |
| Authorized Contact | ALIASGHAR MATIN Provider 818-308-7450 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT12456) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: CA A97751) |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: CA A97751) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A97751) | |
| 291U00000X Clinical Medical Laboratory (Licence: CA A97751) | |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |