| NPI | 1205189933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASELA P. JUMAO-AS Owner 661-847-9773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C43374) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2014-02-27 |