| NPI | 1023372513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VU THANH THAI President 619-295-8891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 56058) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |