| NPI | 1215593652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA MURAVYEVA Administrative Director 805-795-7565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology |
| Additional Taxonomies | 2084P0301X Psychiatry & Neurology, Brain Injury Medicine |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-07-29 |