| NPI | 1659646636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EUGENE IMBUS Physician & President 626-445-6275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 208000000X Pediatrics |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine | |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |