| NPI | 1457544207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC A CHARLES Owner 714-871-5411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G40535) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2011-02-10 |