| NPI | 1225579006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLY GISELLE AGUILAR TABORA President 858-252-8655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A106980) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-12-28 |