| NPI | 1659821189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMBIN WANG Provider 909-279-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA 20A11738) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2023-07-18 |