| NPI | 1407275886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE GENEN CEO 310-892-4284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-22 |