| NPI | 1215238555 |
|---|---|
| Other Name | IBBMED |
| Entity Type | Organization |
| Authorized Contact | P. DAVID LEVIADIN Medical Director 310-888-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A60515) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA Psy23446) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |