NPI | 1871815043 |
---|---|
Entity Type | Organization |
Authorized Contact | LEANDRO GATUS President 323-462-7574 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA A45231) |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA A45231) |
Enumeration Date | 2010-02-15 |
Last Update Date | 2010-05-07 |