| NPI | 1558406728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA MOLINA Administrator 310-416-9793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT18890) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-05-29 |