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 |