| NPI | 1003836545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD X NGUYEN President 805-485-9123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A56329) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A56329) |
| 261QP2300X Clinic/Center, Primary Care (Licence: CA A56329) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |