| NPI | 1093452716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC KIM Operations Officer 714-745-5584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TC0700X Psychologist Clinical | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 1041C0700X Social Worker Clinical | |
| 133N00000X Nutritionist | |
| 207Q00000X Family Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 221700000X Art Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-05-14 |
| Last Update Date | 2023-05-19 |