| NPI | 1124348297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED HASSAN FAYEK Owner 949-542-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A72282) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2011-06-23 |