| NPI | 1932867835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALDO CHASE ESPINOZA President 949-689-5402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TP0814X Psychologist, Psychoanalysis | |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2021-12-08 |