| NPI | 1528702560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER STRATFORD Rcm Director 714-912-6977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-09-08 |