| NPI | 1740325570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANNE BALIAN Office Manager 626-449-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2014-07-08 |