| NPI | 1871269027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX YARIJANIAN CEO 310-405-2376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 302F00000X Exclusive Provider Organization | |
| 302R00000X Health Maintenance Organization | |
| 305R00000X Preferred Provider Organization | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |