| NPI | 1588016026 |
|---|---|
| Doing Business As | THE DOCTOR LA |
| Entity Type | Organization |
| Authorized Contact | MAXIM TSELEVICH Co 323-988-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A32929) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2022-08-12 |