NPI | 1760006712 |
---|---|
Entity Type | Organization |
Authorized Contact | EVAN BRUCE BERK President 310-888-8896 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2020-06-05 |
Last Update Date | 2021-09-29 |