| NPI | 1558905158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASINEE JADE BHOSAI Owner 626-963-4467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |