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 |