| NPI | 1861770513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GADSON J JOHNSON President 310-993-4103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |