| NPI | 1003153412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PANNA R SHAH President 619-403-1701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C53290) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C53290) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-09-24 |