NPI | 1013390038 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL TRAN Owner 714-799-7765 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 46438) |
Enumeration Date | 2015-07-08 |
Last Update Date | 2019-01-25 |