| NPI | 1063589430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S. GOLDMAN Doctor 818-905-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A66810) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: CA A66810) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-04-20 |