| NPI | 1053029918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAGELOS COSKINAS Owner/Psychiatrist 949-500-5108 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2024-10-10 |