| NPI | 1225267859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOROYA M BACCHUS Owner 310-649-2658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G74246) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2020-11-10 |