| NPI | 1053489906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT COKELY CFO 310-670-8574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2008-06-02 |