NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1538166079 |   |   |   | PROFORMANCE PHYSICAL THERAPY AND REHABILITATION, INC. | 2309 PACIFIC AVE | MANHATTAN BEACH | CA | 902662631 |
1265681688 | IWANAGA | KAREN |   |   | 488 S SAN VICENTE BLVD | LOS ANGELES | CA | 900484107 |
1356895908 | MACIAS | GERARDO |   |   | 488 S SAN VICENTE BLVD | LOS ANGELES | CA | 900484107 |
1023183464 | NELSON | DONALD | ERIC |   | 488 S SAN VICENTE BLVD | LOS ANGELES | CA | 900484107 |