| NPI | 1396201273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN PANIAGUA Clinical And Research Director 949-945-9120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-14 |