| NPI | 1699118752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMAL BIJANPOUR Director Of Operations 310-801-5473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CA A109162) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 282NC0060X General Acute Care Hospital Critical Access (Licence: CA A109162) | |
| 305R00000X Preferred Provider Organization (Licence: CA A109162) | |
| 310400000X Assisted Living Facility (Licence: CA A109162) | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness (Licence: CA A109162) | |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances (Licence: CA A109162) | |
| 314000000X Skilled Nursing Facility (Licence: CA A109162) | |
| 315D00000X Hospice, Inpatient (Licence: CA A109162) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2021-05-21 |