| NPI | 1497976039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD JAY DAVIDSON Owner 310-271-7176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2024-05-08 |