| NPI | 1265752703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHARLES MENDOZA President 951-310-1159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 19399) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2015-10-23 |