| NPI | 1235218488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L YOUNG Administrator 714-738-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA G26561) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA PA14593) |
| 363AM0700X Physician Assistant Medical (Licence: CA PA14593) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |