| NPI | 1639053853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN VOLK Owner 213-260-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-11-06 |