| NPI | 1508932500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAWZY SAMY BASTA Owner 818-368-8929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A42961) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2024-04-30 |