NPI | 1205529252 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREI DOKUKIN CEO 562-304-9592 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
Enumeration Date | 2023-05-26 |
Last Update Date | 2024-10-30 |