| NPI | 1881864502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL C BRADY Office Manager 310-601-4839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C51588) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA L016401) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2024-07-24 |