| NPI | 1104204783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO CANTERO Owner 310-908-5850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 129953) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA 129953) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |