| NPI | 1790401388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILAH EMAGE ASY JAMIE QUINONES Owner 323-316-7585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-18 |