| NPI | 1841440419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON KORNBERG C.E.O. 858-677-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A79691) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CA A79691) |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CA A79691) | |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2023-05-17 |