| NPI | 1285084111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOROYA BACCHUS Owner 310-829-4640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G74246) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |