| 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 |