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 |