| NPI | 1689780033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN S MARLOWE President 818-906-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA A067389) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2013-03-29 |