| NPI | 1861649121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELITA BALBAS Medical Director 310-694-3750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: CA A83354) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA G35245) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |