| NPI | 1144092115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR TALBOT Chairman 310-963-9938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-25 |