NPI | 1952025157 |
---|---|
Entity Type | Organization |
Authorized Contact | PRICELDA CID Owner 310-920-9104 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
261QX0100X Clinic/Center, Occupational Medicine | |
Enumeration Date | 2022-09-30 |
Last Update Date | 2023-08-25 |