| NPI | 1609132448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE PUANGCO CEO 323-375-4266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A91074) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: CA A91074) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A91074) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA A91074) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |