| NPI | 1285595827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANTONIO IRIAS CEO, Pmhnp 323-286-8723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-11-21 |
| Last Update Date | 2026-02-04 |