| NPI | 1952917700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY SAMAAN Medical Director 310-626-0149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| 225100000X Physical Therapist | |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |