| NPI | 1093327611 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ADEL MOSTAFAVI CEO 310-871-0670  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | 
| Enumeration Date | 2020-08-17 | 
| Last Update Date | 2020-08-17 |