| NPI | 1245847201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL RAJESH PURI Chief Medical Officer 310-989-2614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |