| NPI | 1104960764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NICHOLAS DONLOU President 310-539-4489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A24707) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |