| NPI | 1467717975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHRAS AKHAVAN CEO 818-990-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A82275) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: CA A82275) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A82275) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A82275) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2024-05-28 |