| NPI | 1659559136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE FUENTES President 909-248-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY19230) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2021-02-02 |