| NPI | 1669531737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY KESSLER Office Manager 310-231-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 611872) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC16444) |
| 111N00000X Chiropractor (Licence: CA DC25828) | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA A54550) | |
| 363A00000X Physician Assistant (Licence: CA PA18141) | |
| 363A00000X Physician Assistant (Licence: CA PA15556) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2025-09-11 |