| NPI | 1558593772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN LABOVITZ Partner 310-543-9160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: CA PT26110) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2009-08-21 |