| NPI | 1649249616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH K WOGENSEN President 626-566-2866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G52870) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2023-03-07 |