| NPI | 1942888508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE GOH-HATTANGADI Owner/Chief Medical Officer 858-216-8837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2023-11-17 |