| NPI | 1114478849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO CANTERO Medical Director 818-600-1572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA CA129953) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: FL ME94218) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |