| NPI | 1659141299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIEP LE DINH Owner 818-251-6961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-04-22 |