NPI | 1962755900 |
---|---|
Former Legal Business Name | M&M PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | JOSEPH GUADALUPE MARQUEZ CEO 562-833-0496 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA 20a8470) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20a8470) |
Enumeration Date | 2012-10-15 |
Last Update Date | 2012-10-15 |