| NPI | 1831432657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE LORRAINE GALAZ Office Manager 310-798-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2024-05-31 |