| NPI | 1538331848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG SMALL Owner 818-907-7828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA G70119) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-04-01 |