| NPI | 1639771652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH LO President 949-999-7944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2024-02-14 |