| NPI | 1952810251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL ANDREW BALAYAN DE GUZMAN Medical Director 510-676-2034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A132370) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CA A132370) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2018-03-17 |