| NPI | 1922357821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA FAROKHPAY Owner / Provider 949-929-5984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A108097) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |