| NPI | 1700145893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN R. DAVID Psychologist 714-593-2355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 22928) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY 22928) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY 22928) | |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |