| NPI | 1912432055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY SCHOSER Revenue Cycle Manager 323-364-6489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2021-11-15 |