| NPI | 1164586764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEG HOREY Office Manager 949-837-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G87113) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-19 |