| NPI | 1275791980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED S. JESALVA Owner 805-374-1120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G58063) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |