| NPI | 1578896197 |
|---|---|
| Doing Business As | MELROSEPSYCH |
| Entity Type | Organization |
| Authorized Contact | GERALD M BALTZ CEO 323-391-4830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP19710) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2020-06-01 |