NPI | 1467742288 |
---|---|
Former Legal Business Name | KUGAYA MEDICAL |
Entity Type | Organization |
Authorized Contact | AKIRA KUGAYA Physician 424-247-9642 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA A92092) |
Enumeration Date | 2011-04-13 |
Last Update Date | 2017-09-14 |