| NPI | 1295229086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE HAIDER Owner 310-876-1027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2019-03-20 |