| 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 |