| NPI | 1356738595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENICE SANCHEZ Owner 949-274-7104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 115232) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |