| NPI | 1295142289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW CLARK DEAN Director 310-892-3235 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY21280) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2015-08-05 |