| NPI | 1447705538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BENZ TRINO CEO 310-701-4349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: CA 053961) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |