| NPI | 1508160664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN PECORARO Biz Mgr 818-307-0074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A50944) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2024-03-07 |