| NPI | 1750578761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE PARK Office Manager 714-484-8054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A48704) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2023-05-23 |