| NPI | 1700144680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY S RAO Owner 619-740-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A92683) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2021-02-24 |