| NPI | 1871890582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YI JIN Director 949-851-3086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA A054617) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A054617) |
| 2084D0003X (Licence: CA A054617) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA A054617) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A054617) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA A054617) | |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-02-15 |