| NPI | 1003959776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOHEILA KHAJAVI President 949-240-1319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A44214) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |