| NPI | 1003847435 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SCOT J RICHARDSON Owner 805-648-3158  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A60878)  | 
| Enumeration Date | 2006-07-05 | 
| Last Update Date | 2015-07-17 |