{
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"FirstLineMailingAddress": "9320 TELSTAR AVE STE 226",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EL MONTE",
"MailingAddressStateName": "CA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "800-288-4584",
"MailingAddressFaxNumber": "626-569-6480",
"FirstLinePracticeLocationAddress": "2302 S GRAMERCY PL",
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"PracticeLocationAddressCityName": "LOS ANGELES",
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"PracticeLocationAddressTelephoneNumber": "323-731-8442",
"PracticeLocationAddressFaxNumber": "323-733-2486",
"EnumerationDate": "12/18/2007",
"LastUpdateDate": "12/18/2007",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "FORD",
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"AuthorizedOfficialCredential": "M.A., M.P.H.",
"AuthorizedOfficialTelephoneNumber": "626-569-6001",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR0400X",
"TaxonomyName": "Rehabilitation Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}