| NPI | 1619587797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL D TRUONG Director 714-378-5062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |