| NPI | 1821983503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW FOX President 818-616-4429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 363A00000X Physician Assistant | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |