| NPI | 1336664796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M LORRAINE PURINO Owner 626-445-8481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine |
| 2084N0600X | |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2020-06-12 |