| NPI | 1316295942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK L JENKINS Owner 310-552-0146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G69736) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2016-04-18 |