| NPI | 1275817355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIE DURIEZ President 310-271-8407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CA A81912) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: CA A81912) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A81912) | |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: CA A81912) | |
| 2084P0005X Psychiatry & Neurology Neurodevelopmental Disabilities (Licence: CA A81912) | |
| 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: CA A81912) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A81912) | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: CA A81912) | |
| 2084S0010X Psychiatry & Neurology Sports Medicine (Licence: CA A81912) | |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-20 |