| NPI | 1942629605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELMAR HEIMANSON Secretary 310-916-7177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A40748) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |