| NPI | 1366700924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA M FORD Physician 310-795-7921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A111264) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |