| NPI | 1053809244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MELDEN Owner 619-435-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2020-12-04 |