| NPI | 1093102766 |
|---|---|
| Other Name | CHOC DEPT OF PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | KERRI RUPPERT SCHILLER CFO 714-509-8405 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |