| NPI | 1972072999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAULENA SYLVIA SHAFER Owner/President 951-203-1823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |