| NPI | 1942616990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEELIE STEFFEN Office Manager 310-453-8393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA A108751) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: CA 28098) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |