| NPI | 1225279532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH E EASTHAM Mgr 949-364-9057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A87146) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2024-01-30 |