| NPI | 1841885902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMAL SHAH Shareholder 323-823-7424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2025-05-07 |