Organization
AXIOM HEALTH PHYSICAL MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTAMBHAR PATEL DC (PRESIDENT)
(310) 399-3200
Entity
Organization
Contact information
Practice address
122 LINCOLN BLVD STE 103, VENICE, CA 90291-2856
(310) 399-3200
Mailing address
122 LINCOLN BLVD STE 103, VENICE, CA 90291-2856
(310) 399-3200
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
113110
CA
Other
Enumeration date
07/28/2017
Last updated
07/21/2022
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