| NPI | 1770845257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELMAR HEIMANSON R.N. 323-646-4797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |