| NPI | 1487649125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSANDR BLYUMKIN President 213-250-2673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: CA 054544) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-08-22 |