| NPI | 1154873909 |
|---|---|
| Doing Business As | STANFORD PSYCHIATRY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ALIUDDIN M KHAJA Owner 805-952-3517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CA A92186) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |