| NPI | 1386240745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANETTE FLEMING Office Manager 949-307-0585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 207QS1201X Family Medicine, Sleep Medicine | |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2022-03-11 |