| NPI | 1770175200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKYUNG PARK CEO 949-903-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-05 |