NPI | 1619372380 |
---|---|
Entity Type | Organization |
Authorized Contact | ALBERT LAI Medical Director 818-736-5836 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
2084A0401X Psychiatry & Neurology, Addiction Medicine | |
Enumeration Date | 2014-10-23 |
Last Update Date | 2017-01-30 |