| NPI | 1699906925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALLEN MOORE Owner 949-764-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G43085) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA G43085) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-12-08 |