| NPI | 1669116570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESSINGTON ENAYE OKUNDAYE Managing Partner 818-571-8708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2025-03-14 |