| NPI | 1326575812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMAL BIJANPOUR President / CEO 310-559-5916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA A109162) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CA A109162) | |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2022-07-21 |