| NPI | 1679627483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY H WEN Neuropsychologist 310-540-4094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY20796) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2019-03-13 |