| NPI | 1043650161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD LEE SPENCER Owner 310-425-3820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A106729) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2025-01-24 |