| NPI | 1952478596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD T KOTOMORI CEO 951-684-2627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A60376) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY19090) |
| 103T00000X Psychologist (Licence: CA PSY8086) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC 40326) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC39054) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A30827) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A41330) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY 9633) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFT 18385) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-06-28 |