| NPI | 1437723145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DO Owner 818-484-6592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2024-01-18 |