| NPI | 1205967635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE NEIL SANDLER Treasurer 949-493-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G33328, G35685) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-07-14 |