| NPI | 1063556843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR KOPS Psychologist 619-234-8139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY4187) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |