| NPI | 1982698767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINA SEGOVIA DIAZ Authorized Official 714-334-1215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A51193) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2023-03-07 |