| NPI | 1093267171 |
|---|---|
| Doing Business As | STANFORD PSYCHIATRY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ALIUDDIN KHAJA Owner 805-952-3517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |