| NPI | 1801933684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SANTIAGO GRISOLIA Present 619-297-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G42884) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2015-05-18 |