| NPI | 1083681290 |
|---|---|
| Doing Business As | MCLA PSYCHIATRIC MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LUKAS ALEXANIAN President 818-240-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2015-11-23 |