| NPI | 1265078786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGETTE YOUSSEF Operations Manager 949-478-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2021-08-20 |