| NPI | 1154530079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC CONRAD LI President 310-442-9449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A76566) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-10 |