| NPI | 1265825350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS K. CIESLA President 310-315-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G9703) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |