NPI | 1497503130 |
---|---|
Entity Type | Organization |
Authorized Contact | KHADEER KHAN Director 310-387-2054 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2024-05-08 |
Last Update Date | 2024-06-05 |