| NPI | 1356229249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYDEN MOSER Billing Director 949-446-6280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-26 |