| NPI | 1639378383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAM ALBERT LE Owner 949-837-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G87113) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2020-08-22 |