| NPI | 1356985717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN OCHINANG Administrative Officer 619-882-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2020-04-25 |