| NPI | 1033710892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDALEN GUSTILO Director Of Payer Relations 714-568-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| 261QM0801X | |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2023-05-09 |