| NPI | 1770022238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN A STEPANOFF CEO 562-365-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY22896) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY22896) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY22896) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2018-03-17 |