Mearle David Lewis Valid NPI

Individual provider · Psychiatric Residential Treatment Facility · Los Angeles, CA

NPI

1457543894

Type

Individual (Type 1)

Primary specialty

Psychiatric Residential Treatment Facility

Specialty group

Residential Treatment Facilities

Taxonomy code

323P00000X

License number

C39057 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-08-09

Last updated

2016-05-24