| NPI | 1639943350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALINA KIEVSKY Fnp 323-606-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |