| NPI | 1114774262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANULIKA CHILAKA Family Nurse Practitioner 310-686-2347 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |