| NPI | 1467980631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN CRUZ Billing Manager 818-880-8605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2017-05-31 |