NPI | 1063887016 |
---|---|
Entity Type | Organization |
Authorized Contact | EBEN HOWARD CEO 714-697-5211 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 103T00000X Psychologist |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
208D00000X General Practice | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2015-12-02 |
Last Update Date | 2019-08-07 |