| NPI | 1669570008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH TERRAZZINO Direct Owner 661-254-0172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA G75356) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G75356) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-04-15 |