| NPI | 1174901128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DESAI Owner 951-530-3294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A1004997) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2022-01-03 |