| NPI | 1912368358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAPHAEL DARVISH Authorized Signatory 310-826-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA A92794) |
| Enumeration Date | 2016-03-13 |
| Last Update Date | 2016-03-13 |