| NPI | 1578116877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCTAVIO CALDERON Partner 310-883-4624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |