NPI | 1720080294 |
---|---|
Entity Type | Organization |
Authorized Contact | JACK LIANJIE DU Owner 714-771-8134 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
Enumeration Date | 2005-08-12 |
Last Update Date | 2011-11-29 |