| 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 |