NPI | 1598952616 |
---|---|
Doing Business As | SOUTHERN CALIFORNIA MOVEMENT DISORDER SEPCIALISTS |
Entity Type | Organization |
Authorized Contact | JEROME P LISK Physician 940-383-1770 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A88331) |
Enumeration Date | 2007-10-02 |
Last Update Date | 2021-03-29 |