NPI | 1194951244 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN FLORA-TOSTADO Licensed Psychologist 949-677-7741 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 5414) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 5414) |
103TE1100X Psychologist, Exercise & Sports (Licence: CA 5414) | |
103TH0004X Psychologist, Health (Licence: CA 5414) | |
Enumeration Date | 2009-06-03 |
Last Update Date | 2009-06-03 |