| NPI | 1548626807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALPHONSO DAVIS Psychological Assistant 323-422-7138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSB94021086) |
| Enumeration Date | 2016-01-01 |
| Last Update Date | 2016-01-01 |