| NPI | 1194118018 |
|---|---|
| Doing Business As | CS MISCELLANEOUS PHYSICIAN SERVICES |
| Entity Type | Organization |
| Authorized Contact | MARK KELLY Director, Business Services 714-509-7964 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TC0700X Psychologist, Clinical | |
| 103T00000X Psychologist | |
| 202C00000X Independent Medical Examiner | |
| 208000000X Pediatrics | |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-23 |