| 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 |