| NPI | 1063685808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOAN T. TYLER NGUYEN President 800-472-9173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A65048) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2014-06-12 |