| NPI | 1760076038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND JOSEPH TUAZON MAMUYAC President 310-938-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2021-02-26 |