| NPI | 1386811644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W SHEN Owner/Self 949-837-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A80928) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |