| NPI | 1598891848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY A.W. DIBELLA Owner 714-520-9759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G21681) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2009-01-13 |