| NPI | 1831393081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANN YUHAS BAKER Owner Clinic Director 310-575-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: CA DC22219) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT15475) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2012-02-13 |