| NPI | 1770655714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN GEORGE CAINE Owner 310-326-5102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G12654) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2009-05-07 |