| NPI | 1578900809 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SANDEEP K THAKKAR Owner 562-233-9109  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: CA 20A10840)  | 
| Enumeration Date | 2013-05-28 | 
| Last Update Date | 2013-05-28 |