| NPI | 1891152781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM WEITZMAN Owner 310-543-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2018-02-13 |