| NPI | 1568709921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HALBERG Owner 310-721-7033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 14137) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2013-01-04 |