| NPI | 1356113450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHEEN LAKHAN Sole Member 818-720-4860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |