| NPI | 1992294011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY RAO Owner 619-708-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 17410) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-08-25 |