| 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 |