NPI | 1477843118 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES BUENAVENTURA President/Owner 310-530-3163 |
Organization Subpart ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: CA PT35780) |
Enumeration Date | 2011-04-14 |
Last Update Date | 2011-04-14 |