| 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 | 2023-05-26 |