| NPI | 1407365935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI NICOLE BLISS Delegated Official 951-200-3620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C52648) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-09-27 |