| NPI | 1851524433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WONG Md 424-400-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A84553) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2014-09-11 |