| NPI | 1124447040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MAGDALENA HERRARTE Head Biller 310-794-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |