| NPI | 1205993714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN A MORENO Child Adolescent And Adult Psychiat 310-208-7558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G77109) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA G77109) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |