| NPI | 1780806182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNGSIK JIN CEO 818-541-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT17006) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT8004) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |