| NPI | 1073262291 |
|---|---|
| Former Legal Business Name | KELLY V KARJOO PSYD |
| Entity Type | Organization |
| Authorized Contact | KELLY V. KARJOO CEO 949-350-5747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2023-11-30 |