| NPI | 1124566260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPTI CHANDRAN Owner 310-832-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CA A102589) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A102589) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2021-12-19 |