| NPI | 1235391624 |
|---|---|
| Doing Business As | PROGENY PSYCHIATRIC GROUP |
| Entity Type | Organization |
| Authorized Contact | JASON P KELLOGG Owner 949-955-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2022-07-14 |