| NPI | 1972370732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN G CHLDRYAN President 818-291-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NX0800X Chiropractor, Orthopedic | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |