| NPI | 1043720261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM A SAGE President 949-899-5787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 29089) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 29089) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: CA 29089) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 29089) | |
| 103TC1900X Psychologist, Counseling (Licence: CA 29089) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 29089) | |
| 103TF0000X Psychologist, Family (Licence: CA 29089) | |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |