| NPI | 1114249240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA KRITSADA KOH Propietor 909-599-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A50936) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-11-03 |