| NPI | 1811137557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY VIOLA JOHNSON Administrator 661-618-1771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |