| 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 |