| NPI | 1962269100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SIMON Chief Of Staff 310-478-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |