NPI | 1588341689 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH HEINZERLING Director 310-393-7129 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2023-06-29 |
Last Update Date | 2023-06-29 |