| NPI | 1689056905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL A PANTOJA Co/Owner 323-718-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 4538) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |