| NPI | 1750277067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB HATTENBACH Medical Director 323-709-3657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-09-17 |