| NPI | 1184453052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MARSHALL Nurse Practitioner 323-251-8983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |