| NPI | 1134586126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIET MINH LOC President 949-837-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: CA A119338) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |