| NPI | 1174686299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W TRADER President 310-277-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G48528) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |