| NPI | 1265019921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEEVON CARL ESMAILI Manager 310-935-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2021-03-26 |