NPI | 1033164579 |
---|---|
Entity Type | Organization |
Authorized Contact | MARINA KOVALEVSKY President 323-650-3335 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207R00000X Internal Medicine |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2006-05-23 |
Last Update Date | 2013-04-01 |