| NPI | 1871642686 |
|---|---|
| Other Name | RISKIN-BANKER PSYCHOTHERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | LARRY TREGLIA Attorney 714-848-5804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA mft35346) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: CA mft35346) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |