| NPI | 1578510004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE A. TAUBENFELD CEO 310-529-8293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY18267) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2008-08-26 |