NPI | 1346560661 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA G COOK Owner/Provider 310-277-9534 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A108321) |
Enumeration Date | 2010-06-09 |
Last Update Date | 2012-07-24 |