| NPI | 1629488721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA C. HOPKINS Licensed Clinical Psychologist 949-290-2102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA PSY 17912) |
| Additional Taxonomies | 251S00000X (Licence: CA PSY 17912) |
| 302F00000X Exclusive Provider Organization (Licence: CA PSY 17912) | |
| 302R00000X Health Maintenance Organization (Licence: CA PSY 17912) | |
| 305S00000X Point of Service (Licence: CA PSY 17912) | |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |