| NPI | 1467122655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ASHLEY SHAPIRO Owner 714-721-8838 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-09-17 |