| NPI | 1861655433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE J. WALKER Owner/President 310-659-1959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A62652) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA A62652) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2023-03-07 |