| NPI | 1669507273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TSILYA BASS Phisician 323-876-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A63630) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A63630) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-07-07 |