| NPI | 1649046426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ESHUN Nurse Practitioner 323-802-3928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2024-01-03 |