| NPI | 1518359421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL JIWANMALL Billing COO Ridnator 818-854-6971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2024-08-22 |