| NPI | 1801118716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENITH K PARESA President 310-659-9566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A66233) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2019-07-03 |