NPI | 1508030107 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID LESLIE FOGELSON Owner 310-828-5015 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G39149) |
Enumeration Date | 2008-04-15 |
Last Update Date | 2008-04-15 |