| NPI | 1447539523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM RAHIMI Doctor 310-373-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA 005474) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2012-07-16 |