| NPI | 1710219894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROGER MOELLER Psychiatrist 310-375-2140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA C32224) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2010-02-03 |