| NPI | 1790315141 |
|---|---|
| Doing Business As | SOUTH BAY BEHAVIORAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CARA WILSON President 424-392-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |