| NPI | 1770772527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIHOKO M NELSEN Doctor 626-792-8154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA G37022) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2010-11-09 |