| NPI | 1669042388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA MANEN DOTCH Dispensing Nurse 323-223-6298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2021-06-25 |