| NPI | 1396462271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIANA SUAYA Owner 310-918-3954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2022-10-21 |