| NPI | 1578973418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KARIN HAAS Owner 310-453-1969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA PT22415) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |