| NPI | 1912216219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA TUDOROF Administrator 323-447-9507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 103G00000X Clinical Neuropsychologist | |
| 133V00000X Dietitian, Registered | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2026-06-01 |