| NPI | 1720222631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA S HUNNICUTT Practice Consultant 714-258-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA G75954) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |