NPI | 1700491990 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT CHANG Medical Director 323-375-0950 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM1300X Clinic/Center, Multi-Specialty | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2020-09-14 |
Last Update Date | 2020-09-16 |