| NPI | 1235476318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEL MOSTAFAVI CEO 949-400-2488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A92472) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A92472) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2024-06-21 |