NPI | 1831707199 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN ANATOL VASILEV Program Spare Holder VP 310-393-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
Enumeration Date | 2020-07-22 |
Last Update Date | 2020-08-06 |