| NPI | 1053979740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THUY THU NGUYEN Office Manager 714-530-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |