| NPI | 1699815217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M ROBINSON Director 310-828-3031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA G72600) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA G72600) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2012-06-04 |