| NPI | 1255802278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNICE ADVINCULA Credentialing 562-403-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |