| NPI | 1902074693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL M BLUMBERG Owner 858-449-1953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY10834) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |