| NPI | 1881931905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ALEXANDER LESTER Vice President 310-230-5574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: CA 197458) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: CA 7458) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |