| NPI | 1962895805 |
|---|---|
| Other Name | JAM SPORTS AND SPINE |
| Entity Type | Organization |
| Authorized Contact | JOSHUA ABRAHAM MAZALIAN Chief Executive Officer 818-392-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 37937) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2020-07-28 |