| NPI | 1407354897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER BYSTRITSKY Owner 310-943-6983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A41302) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |