| NPI | 1518426410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIMA MOAYEDI CEO 949-436-6122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103G00000X Clinical Neuropsychologist | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TE1100X Psychologist, Exercise & Sports | |
| 103TF0200X Psychologist, Forensic | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2020-12-28 |