| NPI | 1235792326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEL MOSTAFAVI CEO 949-400-2488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-04-15 |