| NPI | 1538627559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHZAD BERNOUS Clinical Psychologist 949-679-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 103T00000X Psychologist | |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2024-01-31 |