| NPI | 1134206592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLORES HERNANDEZ Mh Psychiatrist 310-668-6865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A35468) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |