| NPI | 1780935130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN S ELIASHIV Medical Doctor 310-659-2391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A52594) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA A52594) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2013-02-07 |