| NPI | 1164122800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAY CHANDRAN CEO 213-422-6853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-04-26 |