| NPI | 1992296420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVIN THURMAN Md 310-853-6390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A114470) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA A114470) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2019-05-10 |