| NPI | 1528448214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENICE SANCHEZ Owner 949-345-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 115232) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-11-19 |