| NPI | 1215698675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MA VICTORIA ESCARDA Owner/Clinician 323-338-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-02-15 |