| NPI | 1528332905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PANTEA A SHARIFI HANNAUER Owner 310-540-1630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: CA A78624) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2018-10-04 |