| NPI | 1609121961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DAVIS Owner 310-200-0945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2021-12-03 |