| NPI | 1518478643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRICO URO BALCOS President 626-268-9480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A63633) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A63363) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2024-01-06 |