| NPI | 1003063991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA JASA SOTO President 909-475-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A101239) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-11-18 |