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 |