| NPI | 1952496572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WALLACE EISNER Kinesiotherapist 310-478-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital (Licence: CA 1031) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |