| NPI | 1316360969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | V CHARLES CHARUVASTRA Owner 562-904-8905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A29784) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2018-08-08 |