| NPI | 1144417866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA LOUGHRAN Office Manager 619-421-6741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA G250160) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |