| NPI | 1477785483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY MORENO Office Manager 805-928-1731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A91259) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2010-03-29 |