| NPI | 1063653962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVATORE ANTHONY DANNA President/CEO 562-622-7216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA C36260) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: CA PA15685) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |