| NPI | 1841747342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN SASSANO Provider 626-963-4467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A120579) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |