| NPI | 1306433032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAELA CAVANAUGH Practice Administrator 858-598-5472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2020-12-30 |