| NPI | 1891095063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR BOKARIUS President 323-850-8849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A84559) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC7217) |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA A84559) | |
| 225100000X Physical Therapist | |
| 225700000X Massage Therapist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 103T00000X Psychologist (Licence: CA 22492) | |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2012-01-09 |