| NPI | 1407464357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA GAN LIU Managing Director 310-893-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 103TH0100X Psychologist Health Service |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |