| NPI | 1023841475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN PATRICK LEONARD Owner 562-665-6654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |