| NPI | 1467752626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KONONENKO CFO 323-277-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2016-05-25 |