| NPI | 1619554680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE GOH-HATTANGADI Owner/Chief Medical Officer 858-216-8837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2023-11-17 |