| NPI | 1437856713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONSTANTINOS TRIPODIS Provider/Owner 818-254-9967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2024-04-18 |