| NPI | 1982481172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RODRIGUEZ Operations Manager 818-626-6501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |