| NPI | 1679870984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAVANINDER MANN Psychologist 949-864-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 18296) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 18296) |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: CA PSY 18296) | |
| 103TA0700X Psychologist Adult Development & Aging (Licence: CA PSY 18296) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY 18296) | |
| 103TC1900X Psychologist Counseling (Licence: CA PSY 18296) | |
| 103TE1100X Psychologist Exercise & Sports (Licence: CA PSY 18296) | |
| 103TF0000X Psychologist Family (Licence: CA PSY 18296) | |
| 103TH0004X Psychologist Health (Licence: CA PSY 18296) | |
| 103TH0100X Psychologist Health Service (Licence: CA PSY 18296) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CA PSY 18296) | |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2012-04-24 |