| NPI | 1851624878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAKASH J KAMALNATH President 310-592-2501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology Forensic Psychiatry (Licence: CA A46409) |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: CA A38620) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: CA A38620) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A46409) | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: CA A46409) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CA A46409) | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: CA A46409) | |
| 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: CA A46409) | |
| 208VP0000X Pain Medicine Pain Medicine (Licence: CA A46409) | |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |