NPI | 1376266833 |
---|---|
Entity Type | Organization |
Authorized Contact | GLADELYNN ADLAO Vice President 626-705-1005 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
261Q00000X Clinic/Center | |
Enumeration Date | 2022-09-20 |
Last Update Date | 2022-09-20 |