| NPI | 1972709558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUONG-ANH NGO LONG Owner 310-514-5208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA G62453) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-08-22 |