| NPI | 1801103619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JOSEPH SHOPTAW Prof Psychiatry And Behavioral Scie 310-794-6206 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PFY13300) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |