| NPI | 1487386488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA ENRIQUEZ President 818-626-4883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-06-28 |