| NPI | 1871712349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS C LIAN Owner 619-220-8114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G60506) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-16 |