| NPI | 1063809861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALOK BANGA President 916-716-4148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA 131310) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CA 131310) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 131310) | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |