| NPI | 1487530226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE MORA Medical Director/Owner 213-583-4066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-09-10 |