| NPI | 1184810319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOOSA HEIKALI President/Medical Director 818-708-6163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-10-04 |