| NPI | 1164266334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL M WASSER Manager 805-608-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2024-06-22 |
| Last Update Date | 2024-06-22 |