| NPI | 1790326403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRAN CHOI Provider 510-867-7425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |