| NPI | 1770685968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJA B BOUTROS Owner 951-696-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA F43949) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2022-08-02 |