| NPI | 1386104263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAKASH K. BHATIA Owner 619-957-8117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-10-06 |