| NPI | 1396456364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OBADA SUBEI Owner 623-777-7716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 103T00000X Psychologist |
| 133V00000X Dietitian, Registered | |
| 152W00000X Optometrist | |
| 207W00000X Ophthalmology | |
| 207WX0109X Ophthalmology Neuro-ophthalmology | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2023-03-14 |