| NPI | 1184487928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SIMONSON Physician 323-283-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |