| NPI | 1912167461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSS T SHIMIZU Owner 310-829-5968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA C33305) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2021-02-11 |