| NPI | 1871686550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDA NICOLE SIMON Registered Kinesiotherapist 323-478-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: CA 1672) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |