| NPI | 1568567055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY N. SAM Office Manager 626-445-8481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A25976) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-06-12 |