| NPI | 1386067361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARDIS BOLANDIAN Supervisor 310-445-2378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA 24206) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |