| NPI | 1518207604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES T. LONG Owner 310-395-7392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G19016) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |