| NPI | 1699128942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD STEVEN NEISWONGER Partner 213-797-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-08-02 |