| NPI | 1689073595 |
|---|---|
| Former Legal Business Name | GOOD NEIGHBOR CLINIC, AMC |
| Other Name | GOOD NEIGHBOR CLINIC CRENSHAW BOULEVARD |
| Entity Type | Organization |
| Authorized Contact | DANIEL SHANE SHEIBANI DAVIDSON Administrator 310-212-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 208D00000X General Practice (Licence: CA A31491) | |
| 208D00000X General Practice | |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2024-05-24 |