| NPI | 1366717431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY H TRUONG Physician Assistant 818-546-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: CA C41189) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |