| NPI | 1053655027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUC VAN NGUYEN Owner 626-288-3306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA C42546) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |