| NPI | 1508658022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NISSAN MAHGEREFTEH President 310-340-0089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |