| NPI | 1952750531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON JAMES OWYOUNG Owner 626-487-6395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA a40475) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |