| NPI | 1134412240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEL MOSTAFAVI Provider/CEO 310-371-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A92472) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2012-02-27 |