| NPI | 1790594711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DEON HOLLIE CEO 562-416-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 225700000X Massage Therapist |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-01-03 |