| NPI | 1811710700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RUSKIN Owner 213-500-6995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology Addiction Psychiatry |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2024-11-07 |