| NPI | 1922727783 |
|---|---|
| Doing Business As | CI MA MD |
| Entity Type | Organization |
| Authorized Contact | CI MA President 858-848-5386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |