| NPI | 1609121961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DAVIS Owner 310-574-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2026-05-01 |