| NPI | 1053808899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN P DIAS Owner/CEO 818-934-3745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A84321) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: CA A84321) |
| 2084H0002X Psychiatry & Neurology Hospice and Palliative Medicine (Licence: CA A84321) | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: CA A84321) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CA A84321) | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: CA A84321) | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2021-12-21 |