| NPI | 1881431559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HERRING SOVORY Authorized Official 951-335-0193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-10 |