| NPI | 1720800667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES TUAN-TU SONG NGUYEN Doctor/CEO 949-689-9754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2024-10-31 |