| NPI | 1316403512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON ANDREW SHATZMILLER Authorized Official 626-765-6704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2023-09-29 |