| NPI | 1831607589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIX NASSIRI CEO 951-529-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA a34558) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA 20a9369) |
| 207LA0401X Anesthesiology, Addiction Medicine (Licence: CA 20a9369) | |
| 207R00000X Internal Medicine (Licence: CA a48224) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA a48224) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA a34558) | |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |