| NPI | 1679730923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIASGHAR MATIN Director 818-547-9870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A97751) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 12456) |
| 291U00000X Clinical Medical Laboratory (Licence: CA MTA44130) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2014-11-06 |