| NPI | 1174894935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA T JONG Owner 310-373-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G82124) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |