| NPI | 1669980272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NARGUESS A DADFAR Adminstrator 818-518-7226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 005311) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |